Liver Surgery

Hi..I am 33 years old and had a liver resection about 4 months ago..I still have alot of swelling and tenderness. I was wondering if this was normal..I also have alot of swelling in my feet. And I still get very tired at times. I had a large tumor removed from my liver in may.

[Thomas D Schiano, MD]

i think that this is normal post-resection.  What type of tumor was removed?

[AMP0422]

It was a Adenoma...It  ruptured in Dec 09..I was in ICU for 3 weeks..when this first happened They did three  Embolizations..Then finally in May of this year they had to remove it..I just wasnt sure if all this was normal..Funny they have no idea what might have caused this tumor..they were thinking birth control..But I wasnt on it for years..but they still told me to stay away from any OCP..

[Thomas D Schiano, MD]

i agree with staying away from OCOJ Am Soc Nephrol. 2010 Sep 23. [Epub ahead of print]

The Anti-Fibrotic Effect of Mycophenolic Acid-Induced Neutral Endopeptidase.
Dell'oglio MP, Zaza G, Rossini M, Divella C, Pontrelli P, Verrienti R, Rutigliano M, Ditonno P, Stifanelli P, Ancona N, Schena FP, Grandaliano G.

*Renal, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy;

Abstract
Mycophenolic acid (MPA) appears to have anti-fibrotic effects, but the molecular mechanisms underlying this are unknown. We prospectively studied 35 stable kidney transplant recipients maintained on cyclosporine and azathioprine. We converted 20 patients from azathioprine to enteric-coated mycophenolate sodium (EC-MPS) and continued the remaining 15 patients on azathioprine. Exploratory mRNA expression profiling, performed on five randomly selected EC-MPS patients, revealed significant upregulation of neutral endopeptidase (NEP), which is an enzyme that degrades angiotensin II. We confirmed these microarray data by measuring levels of NEP expression in all subjects; in addition, we found that NEP gene expression correlated inversely with proteinuria. In an additional 33 patients, glomerular and tubular NEP protein levels from renal graft biopsies were significantly higher among the 13 patients receiving cyclosporine + EC-MPS than among the 12 patients receiving cyclosporine + azathioprine or 8 patients receiving cyclosporine alone. Glomerular NEP expression inversely correlated with glomerulosclerosis and proteinuria, and tubular NEP expression inversely correlated with interstitial fibrosis. Incubation of human proximal tubular cells with MPA increased NEP gene expression in a dose- and time-dependent manner. Moreover, MPA reduced angiotensin II-induced expression of the profibrotic factor plasminogen activator inhibitor-1, and a specific NEP inhibitor completely reversed this effect. Taken together, our data suggest that MPA directly induces expression of neutral endopeptidase, which may reduce proteinuria and slow the progression of renal damage in kidney transplant recipients.

.  they can be incidental or are hormonally dependent.  i think you should be OK.

[Thomas D Schiano, MD]

i think you should be OK.  The adenoma can be incidental or be hormonally dependent.